Catalyst Fund LOI Contact Information and Project Overview Question Title * 1. CONTACT INFORMATION Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 2. PROJECT INFORMATION Project Name: Project Address: Question Title * 3. PROJECT OVERVIEWDraft a narrative (no longer than four pages) that describes the proposed development project. Include information about the development team, applicable unit count and mix, populations to be served, onsite and offsite amenities, onsite and offsite services to be offered, benefit to the community, financial assumptions and how the project addresses housing needs in La Plata County. Describe expected issues or concerns that may delay the development and how they will be addressed. Describe the project’s need for predevelopment funding and provide a timeline for how quickly funds will be spent. Clarify what other subsidies/funding sources are assumed and attach a high-level pro forma showing sources and uses. Question Title * 4. FUNDING REQUEST SUMMARY & FINANCING PLANPlease Note: this amount will not exceed $75,000 per project. Grants will range from $25,000 - $75,000 per project. Funds must be used for specific costs for feasibility. Nonprofits may request up to $7,500 to cover staff or consultant support during the predevelopment process. Amount of pre-development funds requested: Request % of total pre-development budget: Total Projected Development Costs: Question Title * 5. Cost breakdown of pre-development funds requested (or attach a pro forma in next section) Expense description and Cost Expense description and Cost Expense description and Cost Expense description and Cost Expense description and Cost Expense description and Cost Expense description and Cost Expense description and Cost Expense description and Cost Expense description and Cost Question Title * 6. Attach project pro forma PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Attach project pro forma Question Title * 7. Describe planned project financing, specifically, anticipated financing sources and timeline to apply for and receive awards or attach a high-level pro forma of sources and uses for the proposed project in the next section. Question Title * 8. Attach a high-level pro forma of sources and uses for the proposed project. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Attach a high-level pro forma of sources and uses for the proposed project. Question Title * 9. DEVELOPMENT TEAM INFORMATIONPlease Note: If a development team member hasn’t been established, please put “N/A” with anticipated date of development team selection. Applicant: Developer (if different than applicant): Architect: General Contractor: Property Management Team/Sales Team: Financial Partner/s: Question Title * 10. Provide a brief description of Applicants prior housing development experience. If Applicant has no prior development experience, please describe co-developer or consultant’s development experience and experience of other members of the development team. Question Title * 11. Are all members of the development team in good standing with state funders and local governments on previous or existing housing projects? Yes No If you chose no, please provide the name of development team member, reason for lack of good standing status, and expected date that issue will be resolved. Next
